COMMUNITY OUTREACH YOUTH SERVICES LLC – NPI #1659813335
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

COMMUNITY OUTREACH YOUTH SERVICES LLC is a community based residential treatment facility located in LUMBERTON, NC. NPPES has assigned the NPI number 1659813335 to COMMUNITY OUTREACH YOUTH SERVICES LLC on November 10, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 9 years ago on Jul 26, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMMUNITY OUTREACH YOUTH SERVICES LLC below.

NPI Profile for
COMMUNITY OUTREACH YOUTH SERVICES LLC

NPI Number
1659813335
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY OUTREACH YOUTH SERVICES LLC
Primary location
177 CARDINAL AVE
LUMBERTON, NC 28360-9386
Phone: (910) 827-0111 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ARLIS EMANUEL
CEO
Phone: (910) 827-0111
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)		 NC MHL-078-317
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.